Organization Active NPI

Elwyn New Jersey

  • Developmentally Disabled Services Day Training Agency
  • Vineland, NJ
National Provider Identifier
1669037636
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ELWYN NEW JERSEY
Practice address
Elwyn New Jersey Supported Employment Small Group
228 W. Landis Avenue, Suite 302
Vineland, NJ 08360
Phone
(856) 794-5300
NPI assigned
May 6, 2019
Organization subpart
Yes
Parent organization
ELWYN NEW JERSEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Hartley
Title
Executive Director
Phone
(856) 794-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

Elwyn New Jersey Supported Employment Small Group
228 W. Landis Avenue, Suite 302
Vineland, NJ 08360

Mailing address

Elwyn New Jersey
208 W. Landis Avenue
Vineland, NJ 08360
Phone (856) 794-5300

Other names 1

  • ELWYN NJ SESG Other name

National Provider Directory

National Provider Directory
Tax ID family
Elwyn New Jersey72 organizations share this tax ID, including this one
Part of
Elwyn New Jersey

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1669037636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELWYN NEW JERSEY",
            "address_2": "208 W. LANDIS AVENUE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-794-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELWYN NEW JERSEY SUPPORTED EMPLOYMENT SMALL GROUP",
            "address_2": "228 W. LANDIS AVENUE, SUITE 302",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-794-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWYN NEW JERSEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELWYN NEW JERSEY",
        "enumeration_date": "2019-05-06",
        "last_updated": "2022-02-03",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-794-5300"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELWYN NJ SESG",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ELWYN NJ SESG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.